Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery

This study examined the effects of general anesthesia on the postoperative pain level after third molar extractions compared to local anesthesia. This retrospective study included patients who underwent four simultaneous third molar extractions under general or local anesthesia and had records of th...

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Main Authors: Jeong-Kui Ku, Jae-Young Kim, Mi-Kyoung Jun, Yeong Kon Jeong, Jong-Ki Huh
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/12/2674
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author Jeong-Kui Ku
Jae-Young Kim
Mi-Kyoung Jun
Yeong Kon Jeong
Jong-Ki Huh
author_facet Jeong-Kui Ku
Jae-Young Kim
Mi-Kyoung Jun
Yeong Kon Jeong
Jong-Ki Huh
author_sort Jeong-Kui Ku
collection DOAJ
description This study examined the effects of general anesthesia on the postoperative pain level after third molar extractions compared to local anesthesia. This retrospective study included patients who underwent four simultaneous third molar extractions under general or local anesthesia and had records of their postoperative pain levels (visual analog scale, VAS). The pain level was determined in the early (Postoperative day; POD < #3) and late (POD #3-7) periods. The operation time and recently modified difficulty index were analyzed to validate the homogenous condition of the extraction. Of the 227 male inpatients (aged 20.9 ± 1.3 years), 172 and 55 patients underwent third molar extractions under local and general anesthesia, respectively. The age and difficulty index were distributed equally, but the operation time was longer in general anesthesia than in local anesthesia (<i>p</i> < 0.001). The early and late periods featured similar pain outcomes. The operation time correlated with the total periods with a correlation coefficient of 0.271 (<i>p</i> < 0.001). In conclusion, the postoperative pain following whole third molar extraction was related to the operation time rather than the anesthetic methods.
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spelling doaj.art-1d3d9091b16241c6a1192e33ea9eee6a2023-11-22T00:33:19ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011012267410.3390/jcm10122674Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar SurgeryJeong-Kui Ku0Jae-Young Kim1Mi-Kyoung Jun2Yeong Kon Jeong3Jong-Ki Huh4Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaSae-e Dental Clinic, 109-8, Songwon-ro, Jangan-gu, Suwon 16294, KoreaDepartment of Oral and Maxillofacial Surgery, Section of Dentistry, Armed Forces Capital Hospital, Armed Forces Medical Command, Seongnam 13634, KoreaDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaThis study examined the effects of general anesthesia on the postoperative pain level after third molar extractions compared to local anesthesia. This retrospective study included patients who underwent four simultaneous third molar extractions under general or local anesthesia and had records of their postoperative pain levels (visual analog scale, VAS). The pain level was determined in the early (Postoperative day; POD < #3) and late (POD #3-7) periods. The operation time and recently modified difficulty index were analyzed to validate the homogenous condition of the extraction. Of the 227 male inpatients (aged 20.9 ± 1.3 years), 172 and 55 patients underwent third molar extractions under local and general anesthesia, respectively. The age and difficulty index were distributed equally, but the operation time was longer in general anesthesia than in local anesthesia (<i>p</i> < 0.001). The early and late periods featured similar pain outcomes. The operation time correlated with the total periods with a correlation coefficient of 0.271 (<i>p</i> < 0.001). In conclusion, the postoperative pain following whole third molar extraction was related to the operation time rather than the anesthetic methods.https://www.mdpi.com/2077-0383/10/12/2674general anesthesiaimpacted toothpostoperative painthird molartooth extraction
spellingShingle Jeong-Kui Ku
Jae-Young Kim
Mi-Kyoung Jun
Yeong Kon Jeong
Jong-Ki Huh
Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
Journal of Clinical Medicine
general anesthesia
impacted tooth
postoperative pain
third molar
tooth extraction
title Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
title_full Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
title_fullStr Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
title_full_unstemmed Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
title_short Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
title_sort influence of general and local anesthesia on postoperative pain after impacted third molar surgery
topic general anesthesia
impacted tooth
postoperative pain
third molar
tooth extraction
url https://www.mdpi.com/2077-0383/10/12/2674
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AT jaeyoungkim influenceofgeneralandlocalanesthesiaonpostoperativepainafterimpactedthirdmolarsurgery
AT mikyoungjun influenceofgeneralandlocalanesthesiaonpostoperativepainafterimpactedthirdmolarsurgery
AT yeongkonjeong influenceofgeneralandlocalanesthesiaonpostoperativepainafterimpactedthirdmolarsurgery
AT jongkihuh influenceofgeneralandlocalanesthesiaonpostoperativepainafterimpactedthirdmolarsurgery